Buccal Fat Removal

Cheek Contouring

Defining the Lower Face

Achieve a more sculpted and refined facial profile by addressing the persistent fullness in the lower cheeks that often hides your bone structure.

Buccal fat removal, also known as cheek reduction surgery, is designed for patients who feel they have a "baby face" or overly round cheeks. By removing the buccal fat pad, we can highlight the natural shadows of the face. This creates a more sophisticated and contoured look that emphasizes the cheekbones and jawline.

How Does It Work

Precision Intraoral Sculpting

The procedure is performed entirely through small incisions made inside the mouth, meaning there are no visible external scars. Dr. Capraro will carefully locate the buccal fat pads, which are situated between the cheek muscles. These fat pads are gently teased out and a precise amount is removed to achieve symmetry.

Once the fat is removed, the incisions are closed with dissolvable sutures. The amount of fat removed is highly customized to the patient's existing facial structure and desired level of definition. Because the work is done internally, the transformation appears natural and the recovery is generally quicker than other facial surgeries.

Who Is It For

Candidates for a Chiseled Look

This surgery is ideal for individuals who are at a stable weight but have a round or full lower face that makes them look younger than they are. It is best suited for patients with a clear "buccal" fullness rather than general facial heaviness. Candidates should have good skin elasticity to ensure a smooth result.

If you are looking for a more "hollowed" or contoured cheek appearance that highlights your bone structure, this procedure is a great choice. It is not recommended for patients with naturally thin or narrow faces, as it can lead to a gaunt look later in life. We will assess your facial volume during your consultation.

Refined Proportions

Advantages of Buccal Fat Removal

Buccal fat removal provides a permanent change to the facial architecture. By removing the deep fat pads, patients can enjoy a more mature and defined look that enhances the effects of highlighting and contouring without the need for makeup.

The entire procedure is performed through incisions inside the cheeks.

The removed fat pads do not regenerate, providing a lasting facial contour change.

Reveals the natural contours of the cheekbones and lower jaw.

Typically completed in under one hour as an in-office surgical procedure.

Reduces facial roundness to create a more refined and mature appearance.

Most patients return to work and social activities within a few days.

Recovery Care

Post-Contouring Maintenance

Since the incisions are located inside the mouth, oral hygiene and diet are the most critical factors for a safe and comfortable recovery.

  • Rinse your mouth several times a day with a specialized antimicrobial mouthwash provided by your surgeon to keep the internal incision sites clean.
  • Stick to a soft-food diet for the first few days to avoid irritating the incisions and to minimize the amount of chewing required.
  • Apply cold compresses to the outside of your cheeks frequently for the first forty-eight hours to help control swelling and internal bruising effectively.
  • Do not consume spicy, acidic, or very hot foods for at least one week, as these can cause significant discomfort and irritation to the healing tissue.
  • Avoid using a straw for at least one week, as the suction can put unnecessary pressure on the incisions and potentially disrupt the dissolvable sutures.
  • Avoid vigorous exercise or activities that involve heavy facial movement or impact for at least two weeks to ensure the internal tissues heal properly.
faqs

Any Questions?

There is some soreness, similar to a dental procedure, but it is easily managed with mild pain relief.

Yes, the buccal fat pads do not grow back, so the slimming effect is permanent.

No, it only removes volume; you should have good skin elasticity so the skin adapts to your new contours.

People with "chipmunk cheeks" or overly round lower faces who want a more chiseled jawline and cheekbones.

Most swelling subsides in a few days, and patients return to normal activities within a week.

No, the entire procedure is performed through small incisions inside the mouth.

It is a quick procedure, typically taking about 30–45 minutes in total.

You will be swollen at first; final results are usually visible 2–3 months after the procedure.

Yes, many patients choose to have this done while awake with local numbing.

Targeted Recovery Science

How Lymphatic Drainage Supports Your Transformation

To ensure the most comfortable and efficient recovery, we offer specialized facial lymphatic drainage massage as a clinical add-on to your buccal fat removal plan. This gentle, non-invasive technique uses rhythmic, light-touch movements to stimulate the lymphatic system and flush out the fluids that naturally accumulate in the cheeks following the extraction of the buccal fat pads. By proactively managing the body’s inflammatory response, these sessions help to soften the facial tissues and prevent the buildup of stagnant fluid, leading to a smoother and more predictable healing journey.

Beyond mere comfort, lymphatic massage is a critical tool for refining your final aesthetic results. By significantly reducing post-operative swelling and minor bruising, this therapy allows your new, sculpted mid-face contours to settle more quickly and clearly into their refined position. It also promotes healthy circulation and improved skin texture, ensuring that your cheek hollows are as sharp and polished as possible. Integrating this specialized care into your post-operative protocol provides a holistic path to both feeling and looking your best sooner.

Precision Post-Op Support

The Clinical Benefits of Lymphatic Integration

Integrating lymphatic drainage into your buccal fat removal recovery provides targeted support for your body’s natural inflammatory response. This clinical add-on accelerates the clearing of internal debris, ensuring a faster transition from post-operative swelling to final results.

Rapidly flushes out excess interstitial fluid to minimize post-surgical cheek puffiness.

Accelerates the reabsorption of blood cells to clear skin discoloration faster.

Gentle stimulation calms the nervous system and reduces pressure-induced discomfort.

Prevents the formation of hard nodules or "stiffness" in the mid-face.

Assists the lymphatic system in removing cellular waste after fat pad removal.

Allows the skin to adhere better to the new sculpted hollows.

Targeted Recovery Science

How Lymphatic Drainage Supports Your Transformation

Buccal fat removal triggers a localized fluid response in the deep layers of the cheek. Facial lymphatic drainage acts as a manual catalyst to move this fluid toward the nodes behind the ears and down the neck, preventing the "stagnation" that can slow your recovery.

  • Rapidly clears fluid around the mid-face to reveal the precise, chiseled contours created by the surgery.
  • Gently alleviates the feeling of "fullness" or tension in the cheeks, making facial expressions feel more natural.
  • Helps both sides of the face de-swell at a similar rate, providing a clearer picture of your final symmetry.
  • By softening the deep tissue, lymphatic massage helps the internal incision sites heal without excessive stiffness or pulling.
  • Enhances the delivery of oxygenated blood to the skin, supporting healthy tissue maturation in the treated area.
  • Reducing inflammation more quickly means you can see your surgical results and return to your routine sooner.
What Our Patients Say

Dr. Capraro is excellent, extremely talented and knowledgeable about what he does. His staff is also very welcoming and attentive.

Mishal Ayaz

I have been seeing Jamie Roth for over a year and she has greatly helped me step up my skincare game, as well as offered different treatment plans to help combat my perioral dermatitis. Not only is she the sweetest, but she is so knowledgeable and skilled at what she does! Thank you, Jamie!

Jessica McCarthy

I would give them 10 stars if I could! Nicole has been a life saver for my face. After kids and COVID, I started sleeping on one side of my face and it caused some asymmetry that she’s been able to fix and maintain over the past few years. She’s a pro at making you look your best without making you look overdone (that’s my personal preference). Most of my friends come here as well and love it ! I’ll be here for the long haul.

Brittany Goodwin

Jamie Roth and Nicole are absolutely amazing!! Jamie is my aesthetician and she absolutely nailed my skin type and concerns on the first visit. A lot of aestheticians I’ve had in the past haven’t really understood my highly sensitive and reactive skin or how to treat it, but Jamie got it right away. And she really listened to my concerns as well. She’s very collaborative and treats you like an individual, not a one size fits all. She recommends products that work for you, but never pushes anything on you. She’s highly professional but also kind and empathetic. I can’t recommend her highly enough. Nicole is also amazing, her surgical background and level of knowledge when it comes to injectables is incredible. She also listens to you, and will treat you as an individual. I want subtle adjustments and that’s exactly what she gives me. She’s really an artist. She can achieve any look you want, but I really appreciate that she leans towards the more natural results, and knows all the best ways to achieve long lasting results. She knows all the latest products and techniques and is so good at recommending what will be best for you based on your needs. Her results are really flawless because she has such an extensive knowledge of muscle anatomy. She’s also a lovely person and is great at putting you at ease. Don’t think, just book!

Kathryn Scott

Excellent experience with Dr. Philippe A. Capraro and the entire team. The nurses were amazing—so kind, attentive, and supportive throughout my care.

Samantha

I cannot say enough wonderful things about Dr. Capraro and his entire staff. I have been treated with the utmost care and respect. Dr. Capraro listens well, connects well with his patients, is patient, highly skilled and meticulous in his practice. He goes above and beyond to create the most favorable outcome.

Tanisha Palermo

I cannot speak more highly of this team of doctors, nurses, techs and all the other behind the scene girls. I flew in from Hawaii just to have Dr. Capraro perform a tummy tuck, lipo, breast lift and implants on me. I personally work in the medical field alongside surgeons and Dr. Capraro is by far the kindest and most genuine doctor I have ever met. The Grossman Capraro Plastic Surgery clinic is classy, uplifting, and made me feel worthy of wanting to fix my body after child birth. Jo Jo, who did all of my scheduling was beyond accommodating with my busy life and our time zone difference. Alli, Dr. Capraro’s nurse is such a gem. She took so much time with me during my IV’s, post op appointments, and was my rock through my post-op emotional ups and downs. And Jamie!!!…this girl has got a gift! She pampered me with a post op facial and fillers and made me feel beautiful even though I’m still recovering. I honestly feel like these girls and the entire team have become my friends through this exciting but vulnerable time. I feel blessed to have found them and encourage anyone thinking about plastic surgery to reach out to them.

Ali Koski

LOVE NICOLE!!! she’s very knowledgeable and has great energy— recommended Renuva an I have done one treatment and LOVE IT— it’s done all that was promised and is so natural looking — no recovery to speak of ! YAY!

Suvi Miller

Dr. Capraro completely exceeded my expectations. From the first consult to post-op care, I felt genuinely seen, supported, and safe. He listened so thoughtfully to what I wanted and helped me feel confident every step of the way. The results are absolutely beautiful—natural, balanced, and exactly what I hoped for. I’ve never felt more confident in my body. I’m so grateful to Dr. Capraro and his incredible team. This experience has been life-changing!

Alli Rosati

Dr. Capraro and his entire staff are all amazing. They are all so patient, kind and very professional! They make you feel like family. Dr. Capraro is worth every penny!

Cece Davey

Dr. Capraro is a very knowledgeable and efficient surgeon. He always puts the patient's wishes and feelings first. And I would recommend him to anyone that has concerns about their skin.

Marsha Havengar

I had my breast implants of 20 years, removed and replaced by Dr. Capraro, and I could not be happier! The surgery went well and the results have exceeded my expectations. Dr. Capraro is not only a great surgeon, an artist if his trade, but a wonderful person, whom I am honored to have met. Dr. Capraro staff, Libi, Allie, Nicole, Jojo, Sandy, Lucy and everyone there is so kind, welcoming and available for any question, and I sure had quite a few. Thank you, Dr. Capraro!

Michal Ravid

Simply. The. Best. The front desk staff is warm, welcoming, and incredibly organized—they make scheduling and paperwork effortless. Every team member I encountered was professional, kind, and clearly cared about patient comfort and satisfaction. Dr. Capraro is not only an outstanding plastic surgeon but also an attentive listener. He took the time to understand my goals, answer all of my questions thoroughly, and made sure I felt informed and confident every step of the way. The consultation was detailed, never rushed, and I truly appreciated how honest and transparent they were about the procedure and expected results. Post-op care was just as impressive. The nurse & PA [Nicole is the best] and medical team followed up diligently and made sure I was healing well, which gave me peace of mind throughout the recovery process. I have been into the office many times post-surgery for facials, Botox & and occasional filler. Nicole & Jamie are simply outstanding at what they do. If you're considering any kind of plastic surgery or aesthetic procedure, I can’t recommend Dr. Capraro and his team highly enough. They combine professionalism, artistry, and compassion in a way that truly sets them apart.

Emz Run

Dr. Capraro and his team are amazing! I can't say enough good things about the exceptional results and care that I've received over the 15 years that I have been a patient at Grossman Capraro. Dr. Capraro is professional, knowledgeable and takes his time explaining cosmetic options. At the end of my visits, I have a greater understanding of procedures available and a well laid out plan to achieving the best result. I've referred many family members to Dr. Capraro and they all agree that Dr. Capraro went above and beyond their expectations. His team is great and his PA has a fantastic knowledge base of in office procedures and at home skin routines. Dr. Capraro and his staff will not disappoint. They are the best!

Stephanie Scavuzzo

Dr. Capraro is the BEST plastic surgeon EVER!!! He fixed my botched breast reduction and implant exchange surgery from a couple years ago and I couldn’t be HAPPIER. I HIGHLY recommend Dr. Capraro!!! Also, his staff, is the BEST too!!

Cindy Macek

Dr. Capraro is nothing short of amazing. I was nervous before my consultation in general and also because of just being self conscious. Dr. Capraro and Allie were both so nice and welcoming during the consult. He spent so much time making sure any and all of our questions were answered and that we were comfortable. Livia was wonderful during all of my pre op appointments and so patient with all of my questions. My procedure was smooth and the visits from Nicole and Allie in the hospital were so nice. All of my follow up appointments have been wonderful and everyone is just so friendly and sweet. I get excited to come see everyone. The office has been accommodating with my schedule because I live over 3 hours away. I only have my 6 week follow up and one more follow up after that, but I will be sad to not see them after that. Overall, Dr. Capraro and his whole team are the only ones I would recommend for any type of procedure of this nature. I have been a mom since 16 years old and felt like I’ve had my grandmothers body since then. So this mommy makeover was hugely important to me to feel good about myself after I’ve worked so hard to lose weight 3 kids later. I am beyond happy with my results and the whole entire process from consult to the very end.

Tionna Jones

Dr. Capraro, Nicole PA, and all the staff are wonderful, caring, knowledgable, warm people. Dr. Capraro has done surgeries for me over the past 15 yrs; Abdominoplasty, Breast Reduction, and 3 weeks ago a Brachioplasty. His precision, expertise, and genuine care for the very best outcome is amazing. I trust him fully and would recommend him and his team highly. Sincere thanks to the whole wonderful group for making the process so positive!

C Burke

I had a breast lift with implants and lipo, and the entire experience with Capraro Plastic Surgery & Regenerative Aesthetics has been amazing. The staff is incredibly professional, on top of every detail, and always quick to answer my questions — even after surgery. I’m just over two weeks post-op and already so happy with my results. Highly recommend!

Kerry Kraft

I highly recommend Capraro Plastic Surgery & Regenerative Aesthetics and Nicole Kenyon, PA-C, MHS, for anyone looking for an aesthetic injector. Nicole is truly an artist who understands facial anatomy deeply. She took the time to listen to my goals and delivered results that are refreshed and youthful without looking 'done.' The entire office environment is professional and welcoming. If you want natural-looking results from a true expert, go see Nicole!

Beth Lucas

why choose us?

Superior Quality Plastic Surgery Care

Our team pursues continuous training to stay current with evolving techniques, safety standards, and aesthetic advancements, ensuring every recommendation reflects thoughtful, modern judgment. Dr. Capraro remains personally involved from consultation through recovery, offering calm guidance, clear communication, and consistent, patient-centered care throughout treatment.

Take the First Step Toward Confident Results

Book a personalized consultation and receive clear, physician-led guidance focused on your goals, comfort, and long-term results, with thoughtful recommendations designed to feel natural, intentional, and never rushed.